<div class="control-group">
    <label for="tag">Wrapper tag</label>
    <select id="tag" name="tag">
        <option value="h1"     {if isset($tag) && ($tag === 'h1')}selected="selected"{/if}>Header 1</option>
        <option value="h2"     {if isset($tag) && ($tag === 'h2')}selected="selected"{/if}>Header 2</option>
        <option value="h3"     {if isset($tag) && ($tag === 'h3')}selected="selected"{/if}>Header 3</option>
        <option value="h4"     {if isset($tag) && ($tag === 'h4')}selected="selected"{/if}>Header 4</option>
        <option value="h5"     {if isset($tag) && ($tag === 'h5')}selected="selected"{/if}>Header 5</option>
        <option value="h6"     {if isset($tag) && ($tag === 'h6')}selected="selected"{/if}>Header 6</option>
        <option value="label"  {if isset($tag) && ($tag === 'label')}selected="selected"{/if}>Label</option>
        <option value="legend" {if isset($tag) && ($tag === 'legend')}selected="selected"{/if}>Legend</option>
        <option value="p"      {if isset($tag) && ($tag === 'p')}selected="selected"{/if}>Paragraph</option>
    </select>
</div>

<div class="control-group">
  <label for="content">Content</label>
  <input id="content" name="content" type="text" required="required" placeholder="Some text or attribute" value="{$content|default:''}"/>
</div>

<div class="control-group">
  <label for="free">Free</label>
  <input id="free" name="free" type="text" placeholder="Write what you want!" value="{$free|default:''}"/>
</div>